A nurse is monitoring a client with infectious mononucleosis (IM) Which finding would the nurse expect to assess in the client's laboratory results?

Decreased WBC count with neutrophils predominance.

Negative heterophile antibody test.

Elevated liver function test results.

Normal erythrocyte sedimentation rate (ESR) .

Answer and Explanation

The Correct Answer is C

"Elevated liver function test results."

Choice A rationale:

Infectious mononucleosis typically leads to an increased white blood cell (WBC) count, with a predominance of lymphocytes, not neutrophils. A decreased WBC count with neutrophil predominance is not expected.

Choice B rationale:

A negative heterophile antibody test is uncommon in infectious mononucleosis. A positive test result is characteristic of IM, indicating the presence of antibodies against the Epstein-Barr virus.

Choice C rationale:

Infectious mononucleosis can affect the liver, leading to elevated liver function test results, particularly levels of alanine transaminase (ALT) and aspartate transaminase (AST)

Choice D rationale:

An elevated erythrocyte sedimentation rate (ESR) is often seen in inflammatory conditions but is not specific to infectious mononucleosis. IM is more likely to be associated with an elevated WBC count and atypical lymphocytes on a blood smear.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A rationale:

Administering the measles vaccine within 72 hours of exposure is an appropriate measure to prevent transmission. The vaccine can provide post-exposure prophylaxis and reduce the risk of developing measles.

Choice B rationale:

Quarantining the client for 14 days is an appropriate measure to prevent transmission. Measles is highly contagious, and isolation can help contain the spread of the virus.

Choice C rationale:

Reporting the exposure to the local health authorities is essential for public health monitoring and contact tracing. This helps identify and manage potential cases to prevent further transmission.

Choice D rationale:

Wearing a mask when in contact with the client is an appropriate measure to prevent transmission. Measles is primarily spread through respiratory droplets, and wearing a mask can help reduce the risk of infection.

Choice E rationale:

Educating the client about the symptoms of measles and when to seek medical attention is crucial for early detection and prompt treatment. It also helps the client take appropriate precautions to prevent further spread of the virus.

A. "I'll use warm compresses on my neck to reduce the swelling.” B. "I'll avoid contact sports until I am fully recovered.” C. "I'm planning to take acetaminophen to relieve my fever.” D. "I'll take antibiotics to treat the viral infection.”

Correct Answer is D

Explanation

"I'll take antibiotics to treat the viral infection."

Choice A rationale:

Warm compresses can help alleviate discomfort from swollen lymph nodes, which is common in infectious mononucleosis. This statement does not require further intervention.

Choice B rationale:

Avoiding contact sports is a reasonable precaution because IM can cause splenomegaly (enlarged spleen), which can increase the risk of rupture during physical activity. This statement does not require further intervention.

Choice C rationale:

Taking acetaminophen to relieve fever is appropriate and can help manage symptoms of infectious mononucleosis. This statement does not require further intervention.

Choice D rationale:

Antibiotics are not effective against viral infections like IM. The nurse should intervene and provide education about the viral nature of IM and the lack of benefit from antibiotics.

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A nurse is monitoring a client with infectious mononucleosis (IM) Which finding would the nurse expect to assess in the client's laboratory results?

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Naxlex Comprehensive Predictor Exams

(Select all that apply) : A client has been exposed to someone with measles. The nurse should implement which measures to prevent transmission? Select all that apply:

Correct Answer is ["A","C","D","E"]

Explanation

A client diagnosed with infectious mononucleosis (IM) is experiencing a sore throat. Which statement by the client requires further intervention by the nurse?

Correct Answer is D

Explanation

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